PT  - JOURNAL ARTICLE
AU  - Unoki, Takeshi
AU  - Kawasaki, Yuri
AU  - Mizutani, Taro
AU  - Fujino, Yoko
AU  - Yanagisawa, Yaeko
AU  - Ishimatsu, Shinichi
AU  - Tamura, Fumiko
AU  - Toyooka, Hidenori
TI  - Effects of Expiratory Rib-Cage Compression on Oxygenation, Ventilation, and Airway-Secretion Removal in Patients Receiving Mechanical Ventilation
DP  - 2005 Nov 01
TA  - Respiratory Care
PG  - 1430--1437
VI  - 50
IP  - 11
4099  - http://rc.rcjournal.com/content/50/11/1430.short
4100  - http://rc.rcjournal.com/content/50/11/1430.full
AB  - BACKGROUND: Expiratory rib-cage compression, a chest physiotherapy technique, is well known as the “squeezing” technique in Japan. OBJECTIVE: To determine the effects of rib-cage compression on airway-secretion removal, oxygenation, and ventilation in patients receiving mechanical ventilation. SETTING: An intensive care unit of an emergency and critical care center at a tertiary-care teaching hospital in Tokyo, Japan. METHODS: Thirty-one intubated, mechanically ventilated patients in an intensive care unit were studied in a randomized, crossover trial. The patients received endotracheal suctioning with or without rib-cage compression, with a minimum 3-hour interval between the 2 interventions. Rib-cage compression was performed for 5 min before endotracheal suctioning. Arterial blood gas and respiratory mechanics were measured 5 min before endotracheal suctioning (baseline) and 25 min after suctioning. The 2 measurement periods were carried out on the same day. RESULTS: There were no significant differences in the ratio of arterial partial pressure of oxygen to fraction of inspired oxygen, PaCO2, or dynamic compliance of the respiratory system between the 2 periods (before and after endotracheal suctioning). Moreover, there were no significant differences in airway-secretion removal between the 2 periods. CONCLUSIONS: This study suggests that rib-cage compression prior to endotracheal suctioning does not improve airway-secretion removal, oxygenation, or ventilation after endotracheal suctioning in this unselected population of mechanically ventilated patients.